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New Mexico rates for HCPCS 50725

Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.38 / $1,206.41 / $1,804.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.48 / $1,703.90 / $2,057.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $316.92 / $1,710.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.52 / $1,437.58 / $1,674.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.92 / $1,711.46 / $2,057.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,085.00 / $4,262.00 / $17,636.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.89 / $1,751.74 / $2,512.19